Clinical significance of the ST-segment response and other early exercise test variables in uncomplicated vs complicated myocardial infarction.

Abstract:

:An exercise test was performed in 455 patients in the third week after acute myocardial infarction (AMI). One hundred and seventeen (26%) of them were considered as having a complicated AMI. During a follow-up of 4.5 years their mortality was 49% vs 23% in the remaining patients with uncomplicated AMI. The survival of the patients was assessed in each clinical group in relation to various exercise variables. Exercise-induced ST-segment depression, irrespective of its degree, did not discriminate significantly between dead and living patients in any of the clinical groups. A high value of the rise of the pressure-rate product (PRP) from rest to maximal exercise (dPRP) and absence of significant exercise-induced ventricular arrhythmias identified in both clinical groups patients with a very low risk of dying. A low dPRP and/or occurrence of significant ventricular arrhythmias identified a relatively high risk in uncomplicated AMI patients and a very high risk of dying in complicated AMI subjects. The difference in the probability of survival between low-risk and high-risk patients was highly significant in each clinical group (P less than 0.0001 in uncomplicated, and less than 0.005 in complicated AMI, respectively).

journal_name

Eur Heart J

journal_title

European heart journal

authors

Saunamaki KI,Andersen JD

doi

10.1093/oxfordjournals.eurheartj.a062329

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

603-10

issue

6

eissn

0195-668X

issn

1522-9645

journal_volume

8

pub_type

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